Food Service request form
Please complete this form to request meals for learners who are in isolation. Please make your request by 10 a.m. for the day of service, and complete the form once for each child requesting a meal. Meals will be available for pick-up from noon-12:30 p.m. at Andover Central High School, Door L. Meals will only be available for families who have requested meals in advance.
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Student's name
Parent/guardian name
Parent/guardian phone number
First day needing a meal
MM
/
DD
/
YYYY
Last day needing a meal
MM
/
DD
/
YYYY
Milk selection:
Clear selection
Additional options:
Submit
Clear form
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